Laserfiche WebLink
PERMITTEE NAME'ADDRESS rln+lulc Fxi(itv:VrmuZ xatinrt rI!)iDa+ent/ <br />NAME 1" ;A;11NAL- INC <br />ADDRESS -ILCH LOADQUIT <br />(0:1" '172951& <br />"-3OA T SPR INGF3 CO <br />FACILITY ?IJt_t H L[lia?tDUT <br />LOCATION I-.N. CO £ <br />1^ <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) OMB No. 2040.0004 <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER -' F I f4AL R D1.1TT <br />.' !T+r''" <br />MONITORING PERIOD ND f !"`E/4 T;, nR `( -117K <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREDUENCY SAMPLE <br />OF <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT RF t'DRT £-:- s###'ats 3i 1 - a -WICEi ,-I`'. <br /> REQUIREMENT INST MAX <br />?tIT' <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMETITLE PRINCIPAL EXECUTIVE OFFICER enufi under jvnalh .,f lint that this document and all attachments ware TELEPHONE DATE <br /> prepared under m) direction or supen-tston m accorduce wnh a system designed <br /> to assure that qualified personnel pmperly gathet and ccaluate tic infinmanan <br /> submitted. Based on my inquiry of the pcr em or pcrwns whu manage the system, <br /> <br />the mfcumnaon <br />xwsible for gathering the information <br />or <br />thosc <br />ersons directly res - <br /> , <br />l <br />. <br />p <br />submitted is, to the best of my knowlcdgc mid belief. true. accurate, and complete SIG ATURE OF PRINCIPAL EXECUTIVE lJ ` <br /> am aware that there are significant penalties for submitting fal-se information. <br />! <br />k <br />l FICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />D <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED , <br />nowing vio <br />ations, <br />mcludmg the pcnsihthty of fine and imprisonment for CO <br />E <br />COMMENTS ANU tAF'LANAI IUN Ut ANT VIULAI IUNJ (riCl6r@t7GC au d1[tlGnrntCnls nCr C/ <br />r FEG IF EVENT SUL-..IE <br />TO THE DIVISION <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used This is a 4-(cart f urm